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At IVMENOW, we take B12 seriously
They decide if the claim gets paid
Most adults need 2.4 mcg per day, but vegetarians, vegans, masters athletes over 50, and high-volume endurance athletes are at elevated deficiency risk
Things that might lead to dose changes include how bad the deficiency was, if there are nerve symptoms, if theres ongoing trouble absorbing nutrients, and how each patient responds
Patients with pernicious anaemia have a slightly increased gastric cancer risk and may require baseline endoscopy if aged 50 or over
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